Individual
MS. LORI ANN RANDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5136 SHERIDAN DR STE 1, WILLIAMSVILLE, NY 14221-4647
(716) 864-7675
Mailing address
49 PARK DRIVE, WILLIAMSVILLE, NY 14221
(716) 864-7675
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0164661
NY
Other
Enumeration date
04/29/2008
Last updated
12/03/2012
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